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TherapyEd > Neuromuscular Part Three > Flashcards

Neuromuscular Part Three Flashcards

1
Q

using aquatic therapy for osteogenesis imperfecta.. why

A

increase strength

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2
Q

what is cerebral angiography

A

x-rays of skull after injection of dye into carotid or vertebral arteries or both

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3
Q

what is myelography

A

x-rays of spine after injection of air or dye into subarachnoid space

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4
Q

where is athetosis most common

A

UEs

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5
Q

difference between peresis and paralysis

A

paeresis - weakness

paralysis - loss of voluntary motion

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6
Q

cerebral angiographies have largely been replaced with…

A

MRI

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7
Q

ventriculography is useful with…

A

increased intracranial pressures

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8
Q

what is decorticate posture

A

UE flexion

LE extension

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9
Q

purpose of myelography

A

deliniates abnormalities impinging on subarachnoid space

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10
Q

following SCIs, IN GENERAL, what is displayed

A

paraplegia or tetraplegia (quadriplegia)

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11
Q

what conditions are common with opisthotonos posturing

A

severe meningitis

tetanus

epilepsy

strychnine position

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12
Q

difference between flaccidity and hypotonia

A

flaccidity - absent tone

hypotonia - reduced tone

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13
Q

what is ventriculography

A

x-rays of skull after injection of air into lateral ventricles

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14
Q

what is opisthotonos posture

A

knees flex to touch ass

head, back, and heels arch backward

hands and arms rigid flexion

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15
Q

what tract is affected with a positive Babinski

A

corticospinal (pyramidial)

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16
Q

what is the positive Babinski response

A

dorsiflexion of great toe with fanning of other toes in response to stroking lateral side of the sole of the foot

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17
Q

where is dye injected with cerebral angiographies

A

carotid or vertebral arteries or both

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18
Q

reflex scoring scale (all)

A

0 - absent

1+ - tone change, no visible movement of extremity

2+ - visible movement of extremities

3+ - exaggerated, full movement of extremities

4+ - obligatory and sustained movement for >30 seconds

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19
Q

what muscles are involved with tics

A

face

head

neck

shoulder

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20
Q

the Modified Ashworth grades what?

A

spasticity

21
Q

what is chorea

A

relatively quick twitches or dancing movements

22
Q

what is decerebrate posture

A

rigid extension all four limbs

and trunk and neck

23
Q

rigidity is seen with lesions to what part of the brain

A

basal ganglia

24
Q

corticol disorders will display

A

epileptic seizures

tonic/conic convulsive movements

25
Q

overwork weakness/injury is common with what pathologies

A

postpolio

DMD

26
Q

what is athetosis

A

slow, irregular, twisting, sinous movements

27
Q

CNS/central fatigue is common with what pathologies

A

MS

ALS

chronic fatigue syndrome

28
Q

where is there weakness with neuropathies

A

distal

29
Q

what is an example of superficial cutaneous reflex

A

light scratch

30
Q

UMN produce flaccidity or spasticity?

A

spasticity

31
Q

where is air injected to for myelography

A

subarachnoid space

32
Q

where is air injected to for ventriculographies

A

lateral ventricles

33
Q

what does ventriculography help to localize

A

tumors

34
Q

what are tics

A

spasmodic contractions of specific muscles

35
Q

complications with myelographies

A

dye may result in meningeal irritation

36
Q

what is rigidity

A

increased resistance to PROM that is independent of velocity of mvoement

37
Q

what are superficial cutaneous reflexes

A

normally occurring reflexes in response to noxious stimulus to the skin

38
Q

in general, what type of pathology is abnormal synergy patterns seen with

A

UMN lesions

39
Q

with spasticity, is there increased resistance to PROM?

A

you betcha

40
Q

Neural/myoneural fatigue is common with what pathologies

A

MS

postpolio syndrome

Guillan-barre

41
Q

what are brain MRIs good at

A

acute bleeding (hemmorhage for a stroke)

cerebral edema (3 days post stroke)

cerebral infarction (3-5 days post stroke)

42
Q

intention tremor occuring when voluntary movement is attempted is common with…

A

cerebellar disorders

43
Q

what is tremor

A

continous quivering, oscillatory movement

44
Q

what is the clasp-knife response

A

marked resistance to PROM suddenly gives way

45
Q

following CVAs, IN GENERAL, what is displayed

A

hemiparesis or hemiplegia

46
Q

what is the clasp-knife response seen with

A

spastic hypertonia (UMN)

47
Q

Modified Ashworth grades (all)

A

0 - no increase in muscle tone

1 - slight increase in muscle tone, minimal reistance at end of ROM

1+ - slight increase in muscle tone, minimal resistance through less than half of ROM

2 - more marked increase in muscle tone through most of ROM, affected part easily moved

3 - considerable increase in muscle tone, passive movement difficult

4 - affected part rigid in flexion or extension

48
Q

two types of rigidity and their differences

A

leadpipe - uniform throughout range

cogwheel - interrupted by a series of jerks

49
Q

where is there weakness with myopathies

A

proximal

TherapyEd (81 decks)

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